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to lower the costs of medicare and medicaid and it will not cost anybody anything. that is great politics, it is just not true. so there has got to be some test of realism in any of thesexd proposals, mine included. i have to hold myself accountable and guarantee the american people will hold me accountable if what i am selling does not actually deliver. >> mr. president, a point of clarification. what is in the better solutions book are all the legislative proposals that were offered. >> i understand that. i have actually read your bills. >> through 2009. >> i a understand. -- i understand. >> the summary document you receive this backed up by precisely the kind of detailed legislation that speaker pelosi android restoration have been busy ignoring for 12 months. >> i have read your legislation. i take a look at this stuff and the good ideas we take. here is the thing that all this have to be mindful of. @@@@@@@@@ @ @ @ @ @ @ @ @ @ @ @ and support for faith and the un employed and helping people stay on cobra that democrats and republicans would support. maybe there are some things in th
reviews and investigations of medicare and medicaid fraud. some have resulted in prosecutions and other in new program integrity functions to prevent health care fraud. he has been the inspector general since september 2004 and is the senior official responsible for audits, evaluations, investigations, and general law enforcement for all hhs projects. it is an honor to introduce my colleague, dan levinson. [applause] >> thank you very much. i cannot pass up an opportunity to say hello, good morning, and welcome you here as early as possible. this is such an important event for our office of inspector general because fighting fraud is what we are all about. on behalf of the 1500 dedicated professionals of our office, welcome to what looks to be a very interesting and what i undoubtedly believe will be very productive day as we gather throughout these breakout sessions to drill down on some of the most important issues concerning health-care integrity that our programs face. again, i think you will be hearing this from others as well, when one of every three americans depends upon an effi
, that is not the way to do it. what we should do is what medicare did in 1965. it was a christmas tree in the beginning. that is how they got the legislation passed. after that, then they started putting restrictions. in fact, we must be doing a good job, because now everyone is -- scared that medicare pays so little because it is too stingy in its payment. we did put cost controls and later. medicare does have its financial problems. let me end by saying, i think the public option would have had the potential to control costs, because you could sell insurance, it would garner market share. that could allow for the consolidated purchasing power i talked about to reduce costs which would bring more buyers there. reading the newspapers, it does not look like we will have a public option. that would be the one way in which i could see a health care reform having potential for controlling costs. on a positive note, it is not about costs or dead. if we move towards universal coverage, we are going to be creating a system that will be more malleable to the changes we want to see with regard to cost containme
. >> okay. what if we froze the topline of medicare medicare, medicaid, social security, and the very same discretionary spending that the president announced for tonight's speech for the same time period? how much would that save? >> i can't think of the categories off hand but it would've saved a great deal of money. i think the challenge is to decide what the top line cap on medicare spending, what does that mean to medicare beneficiaries, who is that will not get paid in an amount that would've been paid without that cap. >> okay. let's say that you reduce the benefits to wealthy americans who did pay that money into social security, means tested the payouts and did it that way. >> so on social security side, with picking sort of a dollar amount up front it's easier to change those rules then want to do this sort of thing as you suggest. exactly how much you'd save depends on just what thresholds you picked and how the testing worked. >> mr. chairman, thanks a million. [inaudible] >> thank you, mr. chairman. >> dr. elmendorf, thank you for being here. i applaud president obama for taki
upfront? all the other states lose medicare vantage within five years, but florida is to keep it? why? these have to be dropped. with all respect to senator reid who says he cannot pass health care without these deals, then he is going nowhere. house members are disappointed, like the american people. there are two things to watch. legislation being made and sausage. -- there are two things you do not want to watch. this should stand on its merit. michigan was one of the first it's economically. -- one of worst states economically. let's pass this on policy. i always thought they would do a trigger. no greater than the rate of inflation, if it goes, trigger a public option. that is one when they talk about a compromise. that makes sense. this the one this side of the room. -- let's go to this side of the room. [inaudible] but it could all be for naught. congress starts january 2011 and said they disagree with health care. they could get rid of it. every congress has a right to review it. congress has been talking about this since teddy roosevelt first proposed a 100 years ago. for us
% of all health care is run by the government today. medicare, medicaid, indian health service, military, and v.a., tricare. 60% of it is run by the government. one of the reasons you have an absolute shortage of primary care doctors in this country is because we have set the price for what they're going to pay for primary care and the doctors won't go into it anymore, because there's a 350% payment differential. so we can either embrace our heritage, which says we've relied on markets to allocate scarce resources, or we can deny it and allow the government to run it. i think the health care bill ultimately will pass. i think they're going to buy the votes. you saw what happened in the senate. they're going to dot exact same thing in -- do the exact same thing in the house to get the votes they need and we will have a health care bill that the president will sign. don't think it's the best answer for us as a nation. i can tell you what's in that bill. it puts the government in charge of what you'll get, when you'll get it and where you'll get it, and that's even if you have private insur
a grant funded by the national institute on aging to examine the -- examined the impact of medicare part de on medicare -- on nursing home residents. she also has a steady among cancer patients. that funding is provided by the national cancer institute and the department of veteran affairs. we're happy to have her here to speak about her article. we also have david stevenson whose recent work has focused on a range of topics in that sector, including long-term care financing options, the rising use of hospice care, and so on. we are delighted to have him speaking on the and assisted care -- on the assisted care piece. mary jane koren manages the commonwealth fund at the harvard program. she is an internist. she was vice president of the leslie samuels foundation in new york city prior to joining commonwealth. she began her career in geriatrics where she started a fellowship program and was the assistant medical director for the home health care agency. she has had plenty of experience in the real world. she is had plenty of experience in the real world delivery of these services. let's w
, but will not be if we don't make some changes. now, here's the good news. compared to medicare, social security is actually in reasonably good shape, and with some relatively small adjustments, you can have that solvent for a long time. so social security is going to be there. i know a lot of people are concerned about it. social security we can fix. now, in terms of the cola, the formula -- cola stands for cost of living allowance, so it's put in place to make sure that social security is keeping up with inflation. here's the problem. this past year, because of the severity of the recession, we didn't have inflation; we actually had deflation. so prices actually fell last year. as a consequence, technically, seniors were not eligible for a cost of living adjustment, to have it go up because prices did not go up in the aggregate. that doesn't mean that individual folks weren't being pinched by higher heating prices or what have you, but on average prices went down. here's what we did. working with these key members of congress here, we did vote to provide a $250 one-time payment to seniors, whi
. these are some of the hearings we have had. you're going to hear about the medicare advantage. we did nursing home standards and passed the law 25 years ago and have never had a hearing on that. long-term care insurance, are consumers protected? june 16th, termination of individual health insurance policies. if you are buying an individual family policy eiffel application, right? we had two hearings on this. when you fill up the insurance policy, most companies have about 1400 different codes. you go to the local drugstore in the fill up the prescription. if you trigger a code that will review your policy because with that code triggered might be very expensive medical treatment might be facing in the future and therefore they will jump you -- dump you. for instance, one family as they were filling out the form the told him to put out he was 180 pounds but he was really 250 pounds. they dumped him and said he lied on his application. when it terminated from your health insurance policy, who do you appeal to? the company that just the end user you do not have a repeal rights. -- the company th
middle-age because the pattern of the war. most are going to qualify for medicare any way. the va has excess capacity. soon it's going to have a lot more excess capacity. it is less the world war ii generation and the korean war passalong. it's also been a winning for a decade now has literally offering the best care anywhere on metrics ranging from patient satisfaction to the use of information technology, evidence based medicine. anybody remotely acquainted with the quality of literature on health care the last decade would know the va has the best care anywhere. also, although it is hard to get a card number it appears the cost per patient as compared to medicare is about two-thirds. so this is a triple winner. open up the va to the vets who can use the medicare entitlement not only that, open it up to their wives, let them buy into the system. this now makes clinical sense but 8-year-old veteran scott more bdy with their wife, they have to take care of their tether to the coverage of the buttocks sense because every person of medicare and to the va you have saved about one third a
the center for medicare education, the better jobs better care of national program. she was a political appointee during the clinton administration, serving in the department of health and human services. she also was assistant secretary for aging in 1997. she is been a senior researcher for health services research and project hope center for health affairs previously. to begin, but welcome to the podium. let's welcome him to the podium. >> people tend to view long-term care through a particular lands, depending on what they are interested in. some people focus on specific federal programs. they might focus on quality issues or workforce issues. they also tend to focus on specific populations of elderly. as carol levine said in her article, the whole is often eclipsed by a separate part. this article is an attempt to paint a picture of that hole, although i realize there are plenty of my own biases in it. we include people receiving long-term care from public programs, from family members, from private paid workers, whether they live in the community or institutions, whether they are e
down premiums, bring down the deficit, cover the uninsured, strengthen medicare for seniors, and stop insurance company abuses, let me know. let me know. [applause] let me know. [applause] i'm eager to see it. here is what i ask congress though. don't walk away from reform, not now, not when we are so close. let us find a way to come together and finish the job for the american people. [applause] let's get it done. [applause] let's get it done. [applause] now even as health care reform would reduce our deficit, it is not enough to dig us out of the massive fiscal hole in which we find ourselves. it is a challenge that makes all others that much harder to solve, and one that has been subject to a lot of political posturing. so let me start the discussion of government spending by setting the record straight. at the beginning of the last decade, the year 2000, america had a budget surplus of over $200 billion. by the time i took office, we had a one-year deficit of over $1 trillion and projected deficits of $8 trillion over the next decade. most of this was the result of not paying for
family practice people being skilled enough one question. i understand medicare is restrict frd this new law. is that true? if an employer chooses not to cover mental health at all, there is nothing the employer can do. >> like i mentioned, there's no mandate how this be covered. if the employer chooses not to cover it. this law will not be helped. it is in everyone's interest that these services be covered if primary care physicians are the most likely people to treat depression it would require insurance companies medicare has historically discriminated against mental health services we managed to get the co-pay requirement services removed. it was difficult to have any changes to the law we conditioned to work on getting things like the lifetime limit for medicare. the family physician medication is the bet one. they should inform the person that they take a while to work. someone gets discouraged in two weeks. the medication will not have taken affect yet. we should try to have as many portals into treatment as possible. she got a lot of questions in that one call. hi, sue. >> i have
'll be $723 billion, and that, too, is an entitlement. we tend to think about social security and medicare, medicaid as being the entitlements of great concern to us. interest on the national debt is truly obligatory, it has to be paid, it's an entitlement in the strongest sense of the word. our witnesses last week suggested we need some target thes. we don't need to be out there doing ad hoc things, we need some target to shoot at, and they were suggesting we try to bring the deficit down to 3% of gdp and bring the debt or at least hold it to no more than 6% of gdp. are those reasonable goals? do you think they're too level, too high, too tight, too strict? >> so, again, mr. chairman, it's not our place at cbo to suggest what your goals should be. economists don't have any analytic basis for saying, this is the crucial point in terms of debts or deficits. it is true that as we push in this country to 60%gdp at the end of this year and beyond that over the next few years, we're moving into territory that most developed countries stay out of. we are moving into territory the that is unusual
and medicare are issues that are always available to be tapped and used in campaigns. these eight values have been part of the american fabric of who we are for the 30 years that i have been involved. the order has not changed much. the first three have been the first three for as long as i can remember. keeping those values in mind as you develop your campaign issues is more to be of utmost importance. what is it that i can do in thinking about developing my campaign? i have always thought that the winning campaign is the campaign that is best able to answer what question is that voters think they are asking when they walk into the blues on election day. at some level, i am voting for ed or i am voting for carol. let's look at some of the presidential elections. sometimes it is pretty easy to discern those. obama wanted more change than hillary did. mccain was sort of anti bush and ended up winning the republican nomination. if you will remember, after the republican convention, but kane was actually ahead for the first two weeks of september. september 15 came along and lehman brothers coll
of the reasons -- that's one of the reasons we tried to pass making sure that doctors treating medicare patients knew what they would be getting years out so that medicare would have the stability that it needs. i yield back. >> i thank the gentleman, madam speaker. i would say again, somehow in the gentleman's memory of these past years, there is something that is left out, and that is that this body and congress, because during the clinton years, the clinton years that saw prosperity, there was a republican-controlled congress and republican-controlled congress yielded tax policies that we believed could once again get us back on track in the same way, all the job losses that the gentleman continues to recite and point fingers and blame on the prior administration, if we're going to play that game, i would say that since his party has taken control of this body, we've lost in this country 6.1 million jobs. as he says, none of the job losses are acceptable. i would say there are many ways to look at these figures and who was responsible for what and could claim credit for such. but at the end o
the stops to try and shove this government takeover of health care with medicare cuts and tax hikes. if there's a sweetheart deal that needs to be cut, democrats will cut it. and if there's a vote that needs to be bought, they'll buy it. haven't we had enough of government propped up on payoffs and pork barrel spending? haven't we had enough of the same old us versus them politics that uses yesterday's battles to distract us from today's problems? we're all in this together, and we need positive, forward-looking solutions to bring us together. so for families asking, where are the jobs? republicans have offered common sense solutions to help small businesses invest and hire new workers. we've also put forth a responsible blueprint that makes the tough spending choice that's others just talk about. on health care, republicans have proposed the only bill that will lower premiums by up to 10%, and we do this by implementing smart common-sense reforms, whether it's letting families and businesses buy health insurance across state lines or ending the junk lawsuits that contribute to high
Search Results 0 to 17 of about 18 (some duplicates have been removed)